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1194364778
CHRISTIAN WAYNE PORTER
SEYMOUR, IN
NPI
1194364778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-19-401227)
Enumeration Date
2019-12-31
Last Update Date
2020-07-07
Business Address
CHRISTIAN WAYNE PORTER BCBA
322 DUPONT DR STE C
SEYMOUR, IN 47274-1764
Phone number: 317-334-7331
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Mailing Address
CHRISTIAN WAYNE PORTER BCBA
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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